Individual
MS. GAIL D AZAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
200 PATEWOOD DR, SUITE B 350, GREENVILLE, SC 29615-3593
(864) 454-4500
(864) 454-4505
Mailing address
ONE INDEPENDENCE POINTE, SUITE 212, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
761
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0129
—
SC
01
—
P00899711
RR MEDICARE
SC
Enumeration date
09/26/2005
Last updated
07/13/2011
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